Active NPI
Marisa Pincock, RDN
- Registered Dietitian
- Lindon, UT
National Provider Identifier
1821870312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86198043
- Practice address
- 721 N 780 E
Lindon, UT 84042-2559 - Phone
- (806) 392-6882
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86198043 | Primary |
Addresses
Primary practice location
721 N 780 E
Lindon, UT 84042-2559
Mailing address
721 N 780 E
Lindon, UT 84042-2559
Phone (806) 392-6882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1821870312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N 780 E",
"city": "LINDON",
"state": "UT",
"postal_code": "840422559",
"telephone_number": "806-392-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N 780 E",
"city": "LINDON",
"state": "UT",
"postal_code": "840422559",
"telephone_number": "806-392-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCOCK",
"first_name": "MARISA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86198043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.